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Individual

MISS JEANINE E. BURMEISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
9 RAKESTRAW ST, NORCROSS, GA 30071-2130
(313) 330-3302

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007801
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0
GA
Enumeration date
05/21/2014
Last updated
05/21/2014
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